NPIMap

Organization Active NPI

Louisiana State University Health Sciences Center

Doing business as Allied Health Clinics

  • Customized Equipment (DME)
  • Shreveport, LA
National Provider Identifier
1851562813
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER
Doing business as
Allied Health Clinics
Practice address
1450 Claiborne Ave
School of Allied Health Professions
Shreveport, LA 71103-4204
Phone
(318) 813-2963
Fax
(318) 813-2989
NPI assigned
Mar 18, 2008
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Reva Matthiew Robinson, MBA
Title
Director of Clin MGMT System
Phone
(318) 813-2962

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary
Hearing Aid Equipment 332S00000X

Addresses

Primary practice location

1450 Claiborne Ave
School of Allied Health Professions
Shreveport, LA 71103-4204

Mailing address

PO Box 33932
Shreveport, LA 71130-3932
Phone (318) 813-2962

Other identifiers 1

IdentifierTypeStateIssuer
1035777MedicaidLA

Other names 1

  • Allied Health Clinics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lsu HLTH Sciences Center15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Locations

1501 Kings Hwy
Rm 1201
Shreveport, LA 71103
Phone (318) 675-4881

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1851562813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33932",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711303932",
            "telephone_number": "318-813-2962",
            "fax_number": "318-813-2975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CLAIBORNE AVE",
            "address_2": "SCHOOL OF ALLIED HEALTH PROFESSIONS",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711034204",
            "telephone_number": "318-813-2963",
            "fax_number": "318-813-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUISIANA STATE UNIVERSITY HEALTH SCIENCES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "REVA",
        "authorized_official_middle_name": "MATTHIEW",
        "authorized_official_title_or_position": "DIRECTOR OF CLIN MGMT SYSTEM",
        "authorized_official_telephone_number": "318-813-2962",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332S00000X",
            "taxonomy_group": "",
            "desc": "Hearing Aid Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1035777",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allied Health Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.